UTAH STATE UNIVERSITY (NPI# 1174694095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174694095 |
Entity Type | Organization |
Organization Name | UTAH STATE UNIVERSITY |
Other Organization Name | CENTER FOR PERSONS WITH DISABILITIES |
Practice Address |
6802 Old Main Hill Logan UT 84322-6802 |
Practice Telephone | 4357972750 |
Practice Fax Number | 4357974054 |
Mailing Telephone | 4357972750 |
Mailing Fax Number | 4357974054 |
Enumeration Date | 2006-11-13 |
Last Update Date | 2018-08-28 |
Authorized Official Name | KATHRYN CLEMENTS (FINANCIAL OFFICER) |
Authorized Official Telephone | 4357975830 |
Is Organization Subpart | Y |
Parent Organization Name | UTAH STATE UNIVERSITY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
UT | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Center for Persons with Disabilities | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063679785 | Utah State University | Community/Behavioral Health | 6813 Old Main Hill, Logan, UT 84322-6813 | 2008-05-20 |
1811054182 | Utah State University | Respite Care | 809 N 800 E, Logan, UT 84321-3634 | 2007-01-03 |
1629619010 | Utah State University | Behavioral Analyst | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-10-07 |
1447715701 | Utah State University | Specialist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-01-31 |
1144531419 | Utah State University | Day Training, Developmentally Disabled Services | 150 E Center St, Moab, UT 84532-2430 | 2010-07-01 |
1235374984 | Utah State University | Speech-Language Pathologist | 6410 Old Main Hl, Logan, UT 84322-6410 | 2008-12-10 |
1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
1811058076 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2006-12-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY - COLLEGE OF EASTERN UTAH (BLANDING) | 639 W 100 S Suite 1-A, Blanding, UT 84511-4217 |
System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY - COLLEGE OF EASTERN UTAH (PRICE) | 451 E 400 N, Price, UT 84501-2626 |
System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY SPACE DYNAMICS LABORATORY | 1695 N Research Pkwy, North Logan, UT 84341 |
Street Address |
6802 OLD MAIN HILL |
City | LOGAN |
State | UT |
Zip Code | 84322-6802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447706007 | Conner Andrews | Physician Assistant | 7425 Old Main Hill, Logan, UT 84322 | 2016-09-01 |
1841743515 | Kali Leanne Markle | Audiologist | 2620 Old Main Hl, Logan, UT 84322 | 2016-07-29 |
1043670011 | Paul Bryan Beachem Iv | Specialist/Technologist | 7400 Old Main Hill, Dale Mildenberger Sports Medicine Complex, Logan, UT 84322 | 2016-03-03 |
1508387176 | Matthew Steven Buckner | Specialist/Technologist | 7400 Old Main Hl, Logan, UT 84322 | 2017-07-04 |
1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
1366971368 | Caleigh Goode | Specialist/Technologist | 7425 Old Main Hill Athletic Training Room, Logan, UT 84322-0001 | 2017-06-05 |
1639319775 | Vicki L. Simonsmeier | Speech-Language Pathologist | Department of Communicative Disorders, 1000 Old Main Hill, Logan, UT 84322-0001 | 2009-03-03 |
1730246299 | George Christopher Wootton | Nurse Practitioner | 6802 Old Main Hl, Utah State University, Logan, UT 84322-0001 | 2007-01-03 |
1356373807 | Utah State University, Center for Persons With Disabilities | Day Training, Developmentally Disabled Services | 6810 Old Main Hl, Logan, UT 84322-0001 | 2006-07-07 |
1801878095 | James Walter Davis | Emergency Medicine | 9100 Old Main Hill, 850 East 1200 North, Logan, UT 84322-0001 | 2005-11-15 |
Find all providers in zip 84322 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285789537 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342986 | Aba Services of Utah LLC | Clinic/Center | 153 N Elk Ridge Dr, Elk Ridge, UT 84651-4649 | 2020-10-06 |
1487068979 | East Mountain Therapy | Clinic/Center | 721 N 530 E, Orem, UT 84097-4105 | 2014-06-12 |
1649452863 | Blue Sky Therapeutics, LLC | Clinic/Center | 1910 Prospector Ave, Suite 201, Park City, UT 84060-7211 | 2007-11-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.